MACKENZIE KELLEY (NPI# 1356703847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356703847 |
| Entity Type | Individual |
| Full Name | MACKENZIE KELLEY |
| Credential | DDS |
| Practice Address |
1809 Jancey St Pittsburgh PA 15206-1065 |
| Practice Telephone | (412) 362-5677 |
| Practice Fax Number | 4123620742 |
| Mailing Telephone | (412) 362-5677 |
| Mailing Fax Number | 4123620742 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS041272 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DENTPIN | 99455663 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Allegheny River Blvd, Oakmont, PA 151391800 | 4128283311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302293 | Mackenzie Gluek Kelley | Occupational Therapist | 3395 Plymouth Rd, Minnetonka, MN 55305-3633 | 2019-08-26 |
| 1790265684 | Mackenzie Leigh Kelley | Behavior Technician | 1713 Quarry Ln, Mckinney, TX 75070-5080 | 2018-08-20 |
| Street Address |
1809 JANCEY ST |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15206-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194844 | Wayne Joseph Decroo | Dentist | 1809 Jancey St, Pittsburgh, PA 15206-1065 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649827411 | Tania Hawkins | Specialist | 5744 Baum Blouvard, Shadyside, PA 15206 | 2019-08-26 |
| 1073091252 | Elizabeth Kathryn Allen | Counselor | 220 N Fairmount St Apt 3, Pittsburgh, PA 15206 | 2018-07-31 |
| 1730603408 | Jennifer Marie Zapata | Counselor | 1391 Washington Boulevard, Pittsburgh, PA 15206 | 2017-08-03 |
| 1164942462 | Shanna L Tresatti | Counselor | 1391 Washington Blvd., Pittsburgh, PA 15206 | 2017-06-27 |
| 1457880858 | Keith Hill Sr. | Counselor | 6925 Churchland Street, Pittsburgh, PA 15206 | 2017-06-08 |
| 1245766310 | Prime Psychiatric Care, LLC | Clinic/Center | 6245 Living Place, Suite 2085, Pittsburgh, PA 15206 | 2017-05-10 |
| 1144765868 | Elizabeth Sherman | Occupational Therapist | 5877 Commerce St Ste 2, Pittsburgh, PA 15206 | 2017-01-04 |
| 1649626730 | Sarah Lubiejewski | Dentist | 5986 Centre Ave, Suite C-201, Pittsburgh, PA 15206 | 2016-05-09 |
| 1871956391 | Kadie Fritz | Physician Assistant | 5601 Centre Ave., Suite 360, Pittsburgh, PA 15206 | 2016-04-01 |
| 1750740155 | Perfect Smile Dental Group PC | Dentist | 715 N Highland Ave Ste 1, Pittsburgh, PA 15206 | 2016-02-15 |
| Find all providers in zip 15206 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269652 | Yingci Liu | Dentist | 5607 Baum Blvd Fl 4, Pittsburgh, PA 15206-3701 | 2020-06-12 |
| 1235794413 | Sarah Fedorko | Dentist | 3459 William Penn Hwy, Pittsburgh, PA 15235-5431 | 2019-05-03 |
| 1316416753 | Paul Steven Kukunas | Dentist | 3516 5th Ave Apt 101, Pittsburgh, PA 15213-3332 | 2018-11-14 |
| 1467947739 | Michael Walbom | Dentist | 3501 Terrace St G-89 Salk Hall, Pittsburgh, PA 15261-0001 | 2018-06-28 |
| 1508359803 | Samiya Jabir | Dentist | 355 5th Ave Ste 1121, Pittsburgh, PA 15222-2407 | 2018-06-11 |
| 1942703772 | Madelyn Rea Levine | Dentist | 810 Clairton Blvd Ste 300, Pittsburgh, PA 15236-5505 | 2018-03-18 |
| 1730693227 | Katelyn Marie Petraglia | Dentist | 5701 Centre Ave Ste Ll4, Pittsburgh, PA 15206-3787 | 2017-11-20 |
| 1558883140 | Joshua James Caron | Dentist | G121 Salk Hall, 3501 Terrace St., Pittsburgh, PA 15261 | 2017-07-14 |
| 1184150005 | Jodie Elizabeth Luther | Dentist | 8035 Mcknight Rd Ste 201, Pittsburgh, PA 15237 | 2017-05-11 |
| 1821522269 | Dinya Aboud Anzur | Dentist | 6515 Robinson Centre Drive, Pittsburgh, PA 15205 | 2017-04-12 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15206 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.